@layout("/common/_form.html",{js:["/assets/modular/system/checi/checi_add.js"]}){

<form class="layui-form" id="noticeForm" lay-filter="noticeForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="name" id="name" type="hidden"/>
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">日期<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="riqi" id="riqi" placeholder="请输入日期" type="text" class="layui-input"
                                   lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">发车时间</label>
                        <div class="layui-input-block">
                            <input name="facheTime" id="facheTime"  type="text" class="layui-input"
                                   lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">车号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select name="btyWlCheliangId" lay-filter="chehao" id="chehao" lay-verify="required" required lay-search="">
                                <option value=''>请选择</option>
                            </select>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md10">
                        <label class="layui-form-label">配送门店</label>
                        <div class="layui-input-block">
                            <select xm-select="peisongMendian" lay-filter="peisongMendian" id="peisongMendian" name="peisongMendian"
                                    xm-select-search="" xm-select-search-type="dl">
                                <option value="">请选择</option>
                            </select>
<!--                            <a id="btnExp" class="layui-btn icon-btn bxbtn" lay-event="select">选择历史路线</a>-->
                            <div id="hidden1" lay-filter="hidden1" style="display: none">
                                <div class="layui-form toolbar">
                                    <div class="layui-form-item">
                                <div class="layui-inline">
                                    <label class="layui-form-label pslx">配送路线</label>
                                    <div class="layui-inline pslxinput">
                                        <input id="pslx" class="layui-input" type="text" autocomplete="off"
                                               placeholder="配送线路"/>
                                    </div>
                                </div>
                                <div class="layui-inline" style="text-align: center;margin-top: -5px;margin-left: 5px;">
                                    <a id="fymxSearch" class="layui-btn icon-btn">搜索</a>
                                </div>
                                    </div></div>
                                <table id="department_result" lay-filter="department_result"></table>
                            </div>
                        </div>
                        <input name="btyYfmxId" id="btyYfmxId"  type="hidden" />
                    </div>
                    <div  class="layui-inline layui-col-md1">
                        <a id="btnExp" class="layui-btn icon-btn bxbtn" lay-event="select" style="margin-left: 5px;width:144px">选择历史路线</a>
                    </div>

<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">历史路线</label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <select name="btyYfmxId" lay-filter="btyYfmxId" id="btyYfmxId" lay-search="">-->
<!--                                <option value=''>请选择</option>-->
<!--                            </select>-->
<!--                        </div>-->
<!--                    </div>-->
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">配送线路(省)</label>
                        <div class="layui-input-block">
                            <select name="sheng" lay-filter="qy" id="qy" lay-search="">
                                <option value=''>请选择</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">配送线路(市)</label>
                        <div class="layui-input-block">
                            <select name="peisongLuxian" lay-filter="peisongLuxian" id="peisongLuxian" lay-search="">
                                <option value=''>请选择</option>
                            </select>
                        </div>
                    </div>


                    <!--                    <div class="layui-inline layui-col-md6">-->
                    <!--                        <label class="layui-form-label">司机<span style="color: red;">*</span></label>-->
                    <!--                        <div class="layui-input-block">-->
                    <!--                            <input name="siji" placeholder="请输入司机" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--                        </div>-->
                    <!--                    </div>-->
                    <!--                    <div class="layui-inline layui-col-md12">-->
                    <!--                        <label class="layui-form-label">电话<span style="color: red;">*</span></label>-->
                    <!--                        <div class="layui-input-block">-->
                    <!--                            <input name="dianhua" placeholder="请输入电话" type="text" class="layui-input" lay-verify="required" required/>-->
                    <!--                        </div>-->
                    <!--                    </div>-->

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">备注</label>
                        <div class="layui-input-block">
                            <input name="beizhu" id="bz"  type="text" class="layui-input"/>
                        </div>
                    </div>

                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>
    <script type="text/html" id="hidden1-table-tool">
        <a class="layui-btn layui-btn-xs" lay-event="select">选择</a>
    </script>
</form>


@}
